ClinicalTrials.gg
CompletedNCT03289520FISTULAUpdated Sep 19, 2025

Clopidogrel Prevention of Early Arteriovenous (AV) Fistula Thrombosis

A Phase 3 interventional study of Clopidogrel and Placebo in Kidney Failure and Hemodialysis Fistula Thrombosis, sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Completed at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Primary completion was Jun 2007, 19 years 4 months ago, and no results have been posted to the registry.
  • Registered 14 years 8 months after the study started (first participant enrolled Jan 2003, registered Sep 2017).

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Phase
Phase 3
Study type
Interventional
Enrollment
877
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 553 studies in Renal Insufficiency with a site in United States — 40 open to participants now, 57 under way, 3 of them phase 3. Renal Insufficiency · United States.

Enrollment
16th of 468
877 · median 32
Started
2003
with 16 others
Phase 3
45 of 553
1 open now
Registered
360th of 553
by date

Among the 553 studies in Renal Insufficiency with a site in United States, this one is the 16th largest by enrollment of the 468 interventional ones that give a count, is one of 17 that started in 2003, is one of 45 in phase 3, and was the 360th registered.

Renal Insufficiency

1,412 studies on the registry are indexed under Renal Insufficiency; 145 are open to participants now.

Browse Renal Insufficiency studies →

Open to participants now

40 of the 553 studies in Renal Insufficiency with a site in United States are open now. Recruiting first, the newest first:

35 more — sign in →

All 40 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 90 Renal Insufficiency studies recruiting now, 47 (52%) set no upper age limit and 18 (20%) stop at 75 or younger; 8 take children under 18; 15 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The objective of the study is to determine whether clopidogrel reduces the early failure rate of native AV fistulae. This study was originally registered as NCT00067119 which included two protocols, this one and the GRAFT study)

03

Conditions studied

  • Kidney Failure
  • Hemodialysis Fistula Thrombosis

Browse trials for

Keywords

  • Access Blood Flow Monitoring
  • Clinical Trial Vascular Access
  • Fistula Failure
  • Hemodialysis
  • Vascular Access
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Fistula Study Protocol

Inclusion criteria

Inclusion Criteria:

  • Age 18-21 depending on state regulations
  • of at least six months
  • Chronic renal failure with anticipated start of hemodialysis within six months of enrollment, or current dialysis dependence
  • Planned creation of native upper extremity AV fistula
  • The patient is not on aspirin, or the patient is on aspirin but has not had a myocardial infarction or a cerebrovascular accident within the past 12 months.
  • The patient is expected to stay at a participating dialysis facility for at least 6 months.
  • The patient's physician(s) will allow the patient to participate.
  • Ability to give .

Exclusion criteria

Exclusion Criteria:

  • Women must not be pregnant, breastfeeding, or plan to be pregnant during the course of the study.
  • The presence of ongoing bleeding.
  • The presence of a known bleeding disorder (e.g., hemophilia or von Willebrand's disease).
  • Recent bleeding episode requiring transfusion within 12 weeks of entry.
  • The presence of acute ulcer disease. Acute ulcer disease is defined as a new diagnosis of peptic disease including esophagitis, gastritis, or ulcer or the initiation of treatment with proton pump inhibitors, H2 blockers or therapy for Helicobacter pylori within three months prior to obtaining consent.
  • A condition which prohibits discontinuation of anticoagulant drugs, aspirin, or nonsteroidal anti-inflammatory drugs during the six week study drug administration period. Use of heparin during dialysis is allowed.
  • Required use of oral or intravenous at a dose greater than the equivalent of prednisone 15 mg per day during the six week study drug administration period.
  • Current unstable angina.
  • Required use of clopidogrel.
  • Known to clopidogrel.
  • Medical considerations making anti- therapy dangerous.
  • Current uncontrolled hypertension with systolic blood pressure in excess of 200 mm Hg or diastolic blood pressure in excess of 115 mm Hg at the time of enrollment.
  • Baseline platelet count less than 75,000/mm3.
  • Known advanced liver disease with decompensated cirrhosis, jaundice, ascites or bleeding varices.
  • Current problem with substance abuse.
  • Concurrent participation in another medical intervention trial.
  • Anticipated non-compliance with medical care based on physician judgment.
  • Patient refusal.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
877 participants (actual)

Study arms

  • Experimental
    Clopidogrel

    Drug: Clopidogrel

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Fistula thrombosis (patency failure)

    The fistula was classified as patent if a bruit was audible with a stethoscope throughout systole and diastole at least 8 cm proximal to the arteriovenous anastomosis. Fistula patency was assessed by trained study personnel.

    Time frame: 6 weeks

Secondary outcomes

  1. Failure to attain suitability for dialysis (ability to use the fistula for dialysis with 2 needles and maintain a dialysis machine blood flow rate adequate for optimal dialysis (>=300 mL/min))

    Fistula suitability was defined as the ability to use the fistula for dialysis with 2 needles and maintain a dialysis machine blood flow rate adequate for optimal dialysis (\>=300 mL/min) during 8 of 12 dialysis sessions occurring during a 30-day suitability ascertainment period. For participants receiving maintenance hemodialysis at the time of enrollment and for participants who started maintenance hemodialysis within 120 days after fistula creation, the suitability ascertainment period began between 120 and 150 days after fistula creation surgery.

    Time frame: 30 days

07

Study locations

9 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • Maine Medical Center
    Portland, Maine 04102, United States
  • Boston University Medical Center
    Boston, Massachusetts 02118, United States
  • Washington University
    St Louis, Missouri 63110, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Wake Forest University
    Winston-Salem, North Carolina 27157, United States
  • Vanderbilt University
    Nashville, Tennessee 37232, United States
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
08

References and documents

Publications

  • Dember LM, Kaufman JS, Beck GJ, Dixon BS, Gassman JJ, Greene T, Himmelfarb J, Hunsicker LG, Kusek JW, Lawson JH, Middleton JP, Radeva M, Schwab SJ, Whiting JF, Feldman HI; DAC Study Group. Design of the Dialysis Access Consortium (DAC) Clopidogrel Prevention of Early AV Fistula Thrombosis Trial. Clin Trials. 2005;2(5):413-22. doi: 10.1191/1740774505cn118oa. PubMed 16317810 ↗
  • Dember LM, Beck GJ, Allon M, Delmez JA, Dixon BS, Greenberg A, Himmelfarb J, Vazquez MA, Gassman JJ, Greene T, Radeva MK, Braden GL, Ikizler TA, Rocco MV, Davidson IJ, Kaufman JS, Meyers CM, Kusek JW, Feldman HI; Dialysis Access Consortium Study Group. Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial. JAMA. 2008 May 14;299(18):2164-71. doi: 10.1001/jama.299.18.2164. PubMed 18477783 ↗
  • Natale P, Palmer SC, Saglimbene VM, Ruospo M, Razavian M, Craig JC, Jardine MJ, Webster AC, Strippoli GF. Antiplatelet agents for chronic kidney disease. Cochrane Database Syst Rev. 2022 Feb 28;2(2):CD008834. doi: 10.1002/14651858.CD008834.pub4. PubMed 35224730 ↗

Individual participant data

Plan to share: Yes — Data are available at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Central Repository

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Data sharing details ↗ · repository.niddk.nih.gov

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2003 to primary completion in Jun 2007, 53 months.

Of 36 phase 3 interventional studies under Renal Insufficiency, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 77. This study's 53 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2017
First posted
Sep 21, 2017
StartActual
Jan 7, 2003
Primary completionActual
Jun 18, 2007
CompletionActual
Jun 18, 2007
Last update
Sep 19, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03289520
Responsible party
Sponsor
First posted
Sep 21, 2017
Start date
Jan 7, 2003
Primary completion
Jun 18, 2007
Completion
Jun 18, 2007
Last update
Sep 19, 2025

Study contacts

John W Kusek, Ph.D.
study director · NIDDK - Telephone: 301-594-7717; Email: kusekj@ep.niddk.nih.gov
Catherine Meyers, M.D.
study director · NIDDK - Telephone: 301-451-4901; Email: meyersc@extra.niddk.nih.gov

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Clopidogrel

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